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As regular readers know, I was fortunate enough to be invited by the Rockefeller Foundation to Bellagio, Italy, last week for the third of four weeks in a series of conferences called Making the eHealth Connection. The goal was for a small group of technology and healthcare informatics leaders to come up with actionable ideas to use IT to improve the health of people in the developing world.

The week I was there focused on electronic health records and mobile health.

While I was in Bellagio, I interviewed Judith Rodin, Ph.D., president of the Rockefeller Foundation (and former president of the University of Pennsylvania), and Ariel Pablos-Méndez, M.D., managing director of the Rockefeller Foundation and the head of health programs. Unfortunately, there was an echo in the room that found its way onto the recording. And unfortunately the battery ran out of my recorder before I got done chatting with Dr. Pablos.

We also take a while getting into the discussion about IT, but I still think it’s an interesting interview.

1:05 Rationale behind the conferences1:55 Harnessing the beneficial aspects of globalization to fix the negative effects2:50 Why e-health in the developing world?5:00 Affordability, accessibility and quality of care5:28 “Leapfrog” strategy for bringing technology to underserved areas6:50 Market opportunities from public-private partnerships, even in poor countries8:02 E-health as a remedy to globalization of diseases10:30 Bold, actionable ideas12:22 “Game-changing ideas” from previous Bellagio conferences13:15 Welcome to Dr. Ariel Pablos-Méndez14:05 The foundation’s current attempt to strengthen health systems and long history of creating global programs15:15 Breaking down the silos of health programs in developing countries16:05 Worldwide concerns go beyond HIV/AIDS16:40 Problems with access to care, and the role of telemedicine17:10 Problems with affordability and efficiency18:20 Good health at low cost19:15 Theory that the future will be about more health for the money rather than more money for health19:45 Current Rockefeller Foundation health programs: access20:35 Role of the private sector in health systems in developing countries22:45 E-health in the developing world23:50 Challenges and opportunities in e-health24:55 Interoperability issues with legacy systems26:20 Technology transfer from U.S. institutions to Africa before legacy systems become a problem27:34 Why the timing is right for IT and for these conferences28:10 Needs: collaboration, agenda setting, capacity building, evidence, applications30:00 Bold ideas: British NHS and a system in Sao Paolo, Brazil, sharing code with South Africa and developing a framework strategy for e-health

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